NPI | 1114122371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC 18313) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: DC 18313) |
207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: DC 18313) | |
209800000X Legal Medicine (Licence: DC 18313) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2007-07-08 |