| NPI | 1033752282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010141) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.01041) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2022-06-03 |