| NPI | 1447236179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 074000001) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6772) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071002673) | |
| 103TC0700X Psychologist, Clinical (Licence: NM 0852) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-RXP0006) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-06-17 |