| NPI | 1013427905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175F00000X Naturopath | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-12-19 |