| NPI | 1174693501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 132700000X Dietary Manager |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |