NPI | 1851700546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2261) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2019023951) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2022-10-06 |