| NPI | 1902245541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: FL MA30910) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: FL MA30910) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |