| NPI | 1598990079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 11715) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AZ554) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2024-02-09 |