| NPI | 1124187844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2760) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU1612) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-01-11 |