| NPI | 1982908596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164005288) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2018-03-17 |