| 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 | 2007-07-08 |