| NPI | 1982752259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071003767) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071-003767) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071-003767) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2017-09-27 |