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 |