NPI | 1144460783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 8621) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 8621) |
Enumeration Date | 2009-02-23 |
Last Update Date | 2013-08-20 |