| NPI | 1093561631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: 201666) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |