NPI | 1023011061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 123) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA 123) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2007-07-09 |