NPI | 1912067174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NM 2451) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CO 396) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2008-06-12 |