| NPI | 1225142094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071004831) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IA 0632) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-03-17 |