| NPI | 1295843381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-007235) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007235) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2024-09-19 |