| NPI | 1093028599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 2245) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TN 2245) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2025-12-09 |