| NPI | 1144234170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004689) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-004689) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-02-08 |