| NPI | 1437448081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 431) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD60204165) |
| 231H00000X Audiologist (Licence: MO 2014028198) | |
| 231H00000X Audiologist (Licence: IL 147001514) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2022-09-19 |