| NPI | 1639139280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PA 003465-L) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-08-03 |