| 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 |