| NPI | 1699112334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071-008545) |
| 103TR0400X Psychologist Rehabilitation | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-12-06 |