| NPI | 1861555674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OK 170) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: OK 170) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-02-24 |