| NPI | 1669094025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20043352A) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| 173F00000X Sleep Specialist, PhD | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2022-05-23 |