| NPI | 1114945136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 859-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301008295) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |