| 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 |