| NPI | 1154540508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA37735) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 117189) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-01-25 |