| NPI | 1891896833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207L00000X Anesthesiology (Licence: TN 3068) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-10-15 |