| NPI | 1093148108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: IN 20043451A) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: IN 20043451B) |
| 103TH0100X Psychologist Health Service (Licence: IN TH0003552) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-06-08 |