| NPI | 1861639940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 98-12P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 9812P) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2023-06-26 |