NPI | 1871616169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: IL 071-002614) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-002614) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |