NPI | 1316318710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: DE O20000218) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006410) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-20 |