| NPI | 1255646170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2012-03-14 |