NPI | 1669564175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C35318) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C35318) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2009-10-06 |