NPI | 1790800910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20040843) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: IN 20040843) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2009-04-09 |