| NPI | 1295700680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071004326) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071004326) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |