| NPI | 1932202017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: CT 005068) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 052839) |
| 103T00000X Psychologist (Licence: CT 005068) | |
| 103T00000X Psychologist (Licence: NY 052839) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-01-03 |