| NPI | 1487408266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81720) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 3875) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-05-19 |