NPI | 1477023943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000756) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-11-28 |
Last Update Date | 2024-11-06 |