| NPI | 1093565046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2024008979) |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: MO 2024008979) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |