| NPI | 1891706057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000017) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000017) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-04-08 |