NPI | 1821400557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist (Licence: CA 3710431) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA NONE) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-05-29 |