| NPI | 1518324326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2007) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY 2007) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2023-03-30 |