| NPI | 1457392987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011068) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: MI 6301011068) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-05-22 |