| NPI | 1134433899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP18894) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE6269) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2022-12-29 |