NPI | 1306115837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR D-000992) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 60231565) |
Enumeration Date | 2011-12-29 |
Last Update Date | 2025-07-03 |