| NPI | 1700226644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81060) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU 2906) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-07-23 |