| NPI | 1457807216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD-1002) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 965326) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |