| NPI | 1689602658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH41643) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |