| NPI | 1093096331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2006038467) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164004815) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2012-07-13 |