| NPI | 1821329392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20042397A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20042397A) |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2022-04-01 |