NPI | 1396742367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA g77605) |
Additional Taxonomies | 102L00000X Psychoanalyst |
Enumeration Date | 2005-07-05 |
Last Update Date | 2025-07-15 |