| NPI | 1962273276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: GA P030988) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator (Licence: GA INS-0479) | |
| 175F00000X Naturopath | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-02-06 |