NPI | 1932358157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 225) |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: AL 225) |
133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: AL 225) | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2008-09-11 |