| NPI | 1770633430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-003201) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: IL 071-003201) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |