| NPI | 1043366297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-001939) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071-001939) |
| 103TH0100X Psychologist Health Service (Licence: IL 071-001939) | |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2008-11-13 |