| NPI | 1811636798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 114765) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001938) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-02-06 |