NPI | 1003064163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2008019308) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1388) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2011-07-12 |