NPI | 1487002689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA 3334) |
Additional Taxonomies | 231H00000X Audiologist (Licence: UT 9806481-4101) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2022-02-11 |