NPI | 1336210871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: MD 00172) |
Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201000146) |
282N00000X General Acute Care Hospital (Licence: DC AUD000055) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2014-05-16 |