| NPI | 1386636595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20090254A) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 20090254A) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-10-08 |