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 | 2024-09-07 |