| NPI | 1124874748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744R1102X Specialist, Research Study |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA 01ABF4804A) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2026-04-03 |