| NPI | 1932324647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S009492) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 605) |
| 132700000X Dietary Manager (Licence: 3130) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: 3130) | |
| 174400000X Specialist (Licence: 3130) | |
| 175L00000X Homeopath | |
| 183500000X Pharmacist (Licence: AZ 9492) | |
| 101Y00000X Counselor (Licence: 605) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 605) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: AZ 9492) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-11-13 |