| NPI | 1679505358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-006516) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-22 |