| NPI | 1477358794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY 244771) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37004053A) |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management (Licence: KY 244771) | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |