NPI | 1821194887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MD 00100) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT000087L) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-12-06 |