| NPI | 1376425751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: AZ AZ00017672) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 171400000X Health & Wellness Coach | |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: NC P010123) | |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-09-18 |