| 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 | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2025-04-02 |