| NPI | 1346476082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001097) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IA 000521) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |