| NPI | 1386157923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A.02233) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 2309) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-03-27 |