NPI | 1770282469 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV 40394-DI-1) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2023-03-01 |
Last Update Date | 2025-06-05 |