| NPI | 1003410655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051301582) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-30 |