| NPI | 1447099643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AR 203343) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 2033) |
| 231H00000X Audiologist | |
| 231H00000X Audiologist (Licence: KS 2530) | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2026-07-10 |