NPI | 1194867978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY000002343) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA PY000002343) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2018-04-24 |