| NPI | 1093831141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000394-1) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: VT 098-0000066) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |