NPI | 1598914715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1357) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1531) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2016-01-08 |