NPI | 1720249956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN A0000001173) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000002046) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2020-03-07 |