| NPI | 1982607438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A-1085) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23001941A) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-01-13 |