NPI | 1215699111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005641) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2021-10-07 |
Last Update Date | 2022-04-19 |