| NPI | 1275673493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147-001070) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-005757) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-19 |