NPI | 1942632559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024323-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2013-08-06 |
Last Update Date | 2019-06-04 |