| NPI | 1730069816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KS 3377) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 6576-29) |
| 133V00000X Dietitian, Registered (Licence: OR LD-D-10261889) | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2026-08-14 |