| NPI | 1437408523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NM LN-1084) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NM LN-1084) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2016-09-27 |