| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 390200000X Student in an Organized Health Care Education/Training Program |
| 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 2251S0007X Physical Therapist, Sports |
| 2255A2300X Specialist/Technologist, Athletic Trainer |
| 133NN1002X Nutritionist, Nutrition, Education |
| 103TE1100X Psychologist, Exercise & Sports |
| 133N00000X Nutritionist |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2011-07-18 |