| NPI | 1962889139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY10473) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10473) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2019-08-20 |