NPI | 1760548218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006462) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 0152091) |
103T00000X Psychologist (Licence: IL 07006462) | |
103T00000X Psychologist (Licence: NY 0152091) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-10-25 |