| NPI | 1821180803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006658) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071-006658) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071-006658) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-12-05 |