| NPI | 1518855014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002916A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 299542) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-07-10 |