| NPI | 1891563128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics (Licence: PR 2182) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PR 2182) |
| 133V00000X Dietitian, Registered (Licence: PR 2182) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |