NPI | 1598837775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-007473-L) |
Additional Taxonomies | 103T00000X Psychologist |
103T00000X Psychologist (Licence: PA PS007473) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2023-05-25 |