| NPI | 1083116578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 3340) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2024-08-16 |