| NPI | 1356593297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20043478A) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WY 502) |
| 103G00000X Clinical Neuropsychologist | |
| 103G00000X Clinical Neuropsychologist (Licence: MI 6301014253) | |
| 103G00000X Clinical Neuropsychologist (Licence: UT 799688-2501) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2021-08-03 |