NPI | 1316391675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009279) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071009279) |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2024-10-06 |