| NPI | 1437156999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006408) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041718) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071006408) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-05-09 |