| NPI | 1033683263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 86112844) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-09-21 |