| NPI | 1861442345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071005762) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071055762) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071005762) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-07-25 |