| NPI | 1003092198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-0007413) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071007413) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042339A) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2015-11-19 |