| NPI | 1316428006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 224Y00000X Clinical Exercise Physiologist | |
| 225400000X Rehabilitation Practitioner | |
| 225500000X Specialist/Technologist | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-09-15 |