| NPI | 1124376918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 1052) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147.001187) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2024-05-15 |