| NPI | 1700764545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: CA 86331804) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: CA 86331804) |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: CA 86331804) | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: CA 86331804) | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |