| NPI | 1235213968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: IL 071006093) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006093) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-04-03 |