| NPI | 1346032026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |