| NPI | 1518033869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071002626) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071002626) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071002626) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071002626) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-10-24 |