| NPI | 1467437541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS AU2576) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS HTL8430) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2012-10-31 |