NPI | 1447513999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: NY 790B) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 790B) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2012-06-20 |