NPI | 1639814643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: MD DX5606) |
Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: GA LD006072) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-03 |