| NPI | 1518214451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20043181A) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071008390) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2025-03-12 |