| NPI | 1538179577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: KY 129449) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042307A) |
| 103T00000X Psychologist (Licence: KY 129449) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20042307A) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KY 129449) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20042307A) | |
| 103TC0700X Psychologist, Clinical (Licence: KY 129449) | |
| 103TH0004X Psychologist, Health (Licence: IN 20042307A) | |
| 173F00000X Sleep Specialist, PhD (Licence: IN 20042307A) | |
| 173F00000X Sleep Specialist, PhD (Licence: KY 129449) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-11-28 |