| NPI | 1972337764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86277928) |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: CA 86277928) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |