| NPI | 1467902809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 074.000012) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.009513) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2025-12-29 |