NPI | 1023145257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY8551) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY8551) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2016-06-08 |