NPI | 1760829592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103G00000X Clinical Neuropsychologist (Licence: NY 022092) | |
Enumeration Date | 2013-06-03 |
Last Update Date | 2024-09-16 |