NPI | 1063504124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-003338) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-003338) |
103TC0700X Psychologist, Clinical (Licence: IL 071-003338) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-003338) | |
103TF0200X Psychologist, Forensic (Licence: IL 071-003338) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2010-10-12 |