| NPI | 1326829771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 3836) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147.001970) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |