NPI | 1396623468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043971A) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043971A) |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-09-19 |