| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 133VN1101X Dietitian, Registered Nutrition, Gerontological |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| 133VN1005X Dietitian, Registered Nutrition, Renal |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| 133VN1301X Dietitian, Registered Nutrition, Oncology |
| 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |