| NPI | 1922810498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 133N00000X Nutritionist |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| 175L00000X Homeopath | |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-29 |