| NPI | 1851533194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: DE B1-0000909) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000909) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2025-05-19 |