| NPI | 1235392101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042409A) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: IN 20042409A) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-09-21 |