| NPI | 1053752683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 382) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: SC 382) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-01-03 |