NPI | 1306698550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: NY 012026) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 012026) |
171400000X Health & Wellness Coach (Licence: NY 012026) | |
174H00000X Health Educator (Licence: NY 012026) | |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-06-25 |