| NPI | 1275090094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37002960A) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 08691) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: IN 37002960A) | |
| 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: IN 37002960A) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2022-10-30 |