| NPI | 1437856614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043672A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS LP03490) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2026-01-16 |