NPI | 1922216936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NM 1700) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM 1700) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-09 |