NPI | 1346208410 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-006680) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006680) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2007-07-08 |