| NPI | 1528147816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007749) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007749) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-02-18 |