NPI | 1881716272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000070) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: VT 098000101) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2012-02-23 |