NPI | 1043318397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006890) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071006890) |
103T00000X Psychologist (Licence: IL 071006890) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-03-20 |