| NPI | 1376518985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.5850) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: OH 5850) |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2024-07-31 |