NPI | 1023665098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: DE O2-0000255) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01494) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2023-11-27 |