| NPI | 1386026755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2016-06-09 |