| NPI | 1285143115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1005X Dietitian, Registered Nutrition, Renal (Licence: AZ 1081333) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: AZ 1081333) |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2021-04-12 |