NPI | 1013914431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 00079) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 324) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2007-07-08 |