| NPI | 1154375814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040645A) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 20040645) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-11-23 |