| NPI | 1053054783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.010786) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.010786) |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.010786) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-09-15 |