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 |