| NPI | 1316083363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 302) | 
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: OK 302) | 
| Enumeration Date | 2007-01-29 | 
| Last Update Date | 2025-09-11 |