| NPI | 1083828784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: RI MD 4759) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD 4759) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |