| NPI | 1427808211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: TX 81654) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |