| NPI | 1174335111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011398) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 03351) |
| 103G00000X Clinical Neuropsychologist (Licence: IL 071.011398) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-10-10 |