| NPI | 1447954896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071011457) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: IL 071011457) |
| 103T00000X Psychologist (Licence: IL 071011457) | |
| 103G00000X Clinical Neuropsychologist (Licence: IL 071011457) | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2026-05-12 |