| NPI | 1023705571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10187146) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR 10187146) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-09-12 |