| NPI | 1497433197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PR 8209) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 8209) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2025-11-18 |