| NPI | 1447631551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071008953) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008953) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 071008953) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-04-04 |