| NPI | 1710068499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 165000163) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 181000329) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |