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 |