| NPI | 1740991165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |