| NPI | 1245389329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006157) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71006157) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-04-04 |