| NPI | 1952046195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 4237) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.008715) |
| 133V00000X Dietitian, Registered (Licence: FL 11410) | |
| 133V00000X Dietitian, Registered (Licence: KY 286678) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-01-18 |