| NPI | 1740891282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071010323) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071010323) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-03-01 |