| NPI | 1669696753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25372) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071007085) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 071007085) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-11-27 |