| NPI | 1992739262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis (Licence: ND 244) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ND ND 244) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-01-07 |