| NPI | 1437773454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TN 3847) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071-010129) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-03-25 |