| NPI | 1003972167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 4576) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: FL 4576) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2010-08-20 |