| NPI | 1598930810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1136-57) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071003314) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-07-03 |