| NPI | 1598211849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL 79170) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: FL 79170) |
| 133N00000X Nutritionist (Licence: FL 79170) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |