| NPI | 1871313890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171100000X Acupuncturist | |
| 171400000X Health & Wellness Coach | |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine (Licence: KY 124197182) | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-04-24 |