| NPI | 1821701004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: NY 86175639) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: NY 86175638) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: NY 86175638) | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: NY 86175638) | |
| 133V00000X Dietitian, Registered (Licence: NY 86175639) | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |