NPI | 1134315047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002893A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000228) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2024-12-10 |