| NPI | 1609062967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000573) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001247) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2023-05-12 |