| NPI | 1356977896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 86027416) |
| Additional Taxonomies | 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: NY 86027416) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-02-07 |