NPI | 1326766932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: OR 31062) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD61321524) |
Enumeration Date | 2022-08-19 |
Last Update Date | 2024-07-22 |