| NPI | 1033373295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002591A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A-1657) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-11-23 |