NPI | 1497563597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004145) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA LDN7139) |
133V00000X Dietitian, Registered (Licence: MD Dx6367) | |
133V00000X Dietitian, Registered (Licence: AK 217060) | |
Enumeration Date | 2024-12-20 |
Last Update Date | 2024-12-20 |