| NPI | 1851068647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 132700000X Dietary Manager (Licence: CA 1098946) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 1098946) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |