| 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 |