| NPI | 1063585933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-006978) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006978) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2017-09-26 |