| NPI | 1518328574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005713) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006771) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2023-01-23 |