NPI | 1669094025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043352A) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
173F00000X Sleep Specialist, PhD | |
103TH0004X Psychologist, Health | |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2020-05-08 |
Last Update Date | 2025-09-23 |