NPI | 1306176334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 7303483-4901) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL #1002013) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2010-01-15 |