| NPI | 1104992445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071005518) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 071005518) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-01-22 |