| NPI | 1780955534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: 912606) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2025-02-05 |