NPI | 1790472983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 3869) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37003252A) |
133V00000X Dietitian, Registered (Licence: AL 3272) | |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-04-19 |