| NPI | 1831224906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 2233) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 02233) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-10-31 |