| NPI | 1003308974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT HAD-HAD-LIC-1450) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: ID HT-3351) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-02-19 |