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 |