NPI | 1538767397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT86304) |
133VN1301X Dietitian, Registered, Nutrition, Oncology | |
Enumeration Date | 2020-10-14 |
Last Update Date | 2023-10-20 |