| NPI | 1467224766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 171W00000X Contractor |
| 372500000X Chore Provider | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |