| NPI | 1083096812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 86009485) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006300) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2020-05-08 |