| NPI | 1689439317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |