| NPI | 1609933886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA11717) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 836) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-01-11 |