| NPI | 1043305451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147001230) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 57 002154) |
| 231H00000X Audiologist (Licence: PA AT006010) | |
| 231H00000X Audiologist (Licence: ID AUD-1523) | |
| 231H00000X Audiologist (Licence: WY A-978) | |
| 231H00000X Audiologist (Licence: WI 502-156) | |
| 231H00000X Audiologist (Licence: TX 80058) | |
| 231H00000X Audiologist (Licence: MO 2007005975) | |
| 231H00000X Audiologist (Licence: NJ 41YA00072100) | |
| 231H00000X Audiologist (Licence: VA 2201001343) | |
| 231H00000X Audiologist (Licence: CO AUD-474) | |
| 231H00000X Audiologist (Licence: UT 6790352-4101) | |
| 231H00000X Audiologist (Licence: IA 000690) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-02-25 |