| NPI | 1477149102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: MT MED-NUTR-LIC-91189) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |