NPI | 1588285159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0011432) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1780) |
Enumeration Date | 2020-05-05 |
Last Update Date | 2025-08-28 |