| 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 |