NPI | 1033404371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 896576) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 896576) |
133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 896576) | |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CA 896576) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2022-07-19 |