| NPI | 1457546129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 000002140) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IL 000002140) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |