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 |