| NPI | 1265743165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040021A) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IN 20040021A) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-12-06 |