| NPI | 1336527613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009077) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2021-02-07 |