| NPI | 1740832252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2019030890) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164007825) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2024-04-01 |