NPI | 1972050854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 100738) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 141393) |
Enumeration Date | 2016-09-08 |
Last Update Date | 2016-09-08 |