NPI | 1205156155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002473A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OH A. 01732) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2012-02-20 |