| NPI | 1437821436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IL 86006224) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 86006224) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-05-23 |