| NPI | 1003842014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 51290) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-02-26 |