| NPI | 1306926373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002552) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 1925) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-01-09 |