| 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 |