| NPI | 1669155131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: TX 001180) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |