| NPI | 1750436150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147.001329) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 2119) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-07-09 |