| NPI | 1699776401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WY 386) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 386) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-11-08 |