| NPI | 1891323317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 00960781) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: TX DT80358) |
| 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: TX DT80358) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: TX DT80358) | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological (Licence: TX DT80358) | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: TX DT80358) | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology (Licence: TX DT80358) | |
| 133VN1401X Dietitian, Registered, Nutrition, Pediatric Critical Care (Licence: TX DT80358) | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: TX DT80358) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |