| NPI | 1740002245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 1595441) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IN 20042820A) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-11-20 |