| NPI | 1871286617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.008567) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 164.008567) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |