| NPI | 1891905436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.008864) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301003853) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-10-30 |