NPI | 1588737464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL 916707) |
Additional Taxonomies | 136A00000X Dietetic Technician, Registered (Licence: 916707) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2010-03-22 |