| NPI | 1649631821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.010461) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27649) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2025-03-19 |