| NPI | 1710220280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.005300) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164.005300) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 164.005300) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 164.005300) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |