NPI | 1790302057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.09168) |
Enumeration Date | 2020-07-02 |
Last Update Date | 2023-08-15 |