| NPI | 1043100126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20043924A) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: IN 20043924A) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-15 |