NPI | 1578769121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist |
Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: CT 10464) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2007-07-08 |