NPI | 1669577722 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: HI 26-LD) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-11-20 |