| NPI | 1417278524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: DE DN-0000255) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: DE DN-0000255) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2015-08-04 |