NPI | 1124672654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37003128A) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.007751) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2021-10-12 |