| NPI | 1003197856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20043418A) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071.010299) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.010299) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043418A) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-11-05 |