| NPI | 1356100275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: RI LDN01239) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: RI LDN01239) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-08-15 |