| NPI | 1275760407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 174400000X Specialist | |
| 225700000X Massage Therapist (Licence: CA 5161) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-12-02 |