NPI | 1508997792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY1013) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071007205) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2021-05-28 |