NPI | 1679661417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NV A107) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NV HAS211) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-09 |