| NPI | 1174896633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071008295) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008295) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2023-11-20 |