| NPI | 1255437778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20040047) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040047A) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2014-04-01 |