NPI | 1679526750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 404) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 404) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2008-07-30 |