NPI | 1366970634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: OH 02071) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1962757583) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2024-10-31 |