NPI | 1366779621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00076800) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006127) |
Enumeration Date | 2009-11-06 |
Last Update Date | 2009-11-06 |