| NPI | 1932330867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: IN CNC-2372) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: DC NAT-375) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2010-05-20 |