NPI | 1023694379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042512A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042512A) |
Enumeration Date | 2021-03-18 |
Last Update Date | 2021-03-31 |