| NPI | 1730502824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: AR 87-06 lpe-1) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: AR 87-06EI) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2024-04-09 |