| NPI | 1588054928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT006369) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: DE O2 0000208) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-02-04 |