NPI | 1891385951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PY0989) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0989) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2024-11-22 |