| NPI | 1801914106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: IL 285) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 3638823) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |