NPI | 1528384658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006740) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004828A) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2010-04-14 |