| NPI | 1093285850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NV 86177356) |
| 172M00000X Mechanotherapist (Licence: NV NVMT.6268) | |
| 173C00000X Reflexologist (Licence: NV NVMT.6268) | |
| 225700000X Massage Therapist (Licence: NV NVMT.6268) | |
| 226300000X Kinesiotherapist (Licence: NV NVMT.6268) | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-02-11 |