NPI | 1891098802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1866) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AL 1866) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2023-02-28 |