NPI | 1033382650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5589) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH 5589) |
Enumeration Date | 2008-04-03 |
Last Update Date | 2008-04-03 |