| NPI | 1790245587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 86099643) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164007181) |
| 133V00000X Dietitian, Registered (Licence: IA 088682) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |