| NPI | 1275627648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 121) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NM 121) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-12-29 |