| NPI | 1346989340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education (Licence: PA DN007582) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: DE DN-0010856) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |