| NPI | 1144557588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P0000003336) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 17-05P) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2018-10-25 |