| NPI | 1316680937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81353) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 81353) |
| 231H00000X Audiologist | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-08-02 |