| NPI | 1043294234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NV A-012) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NV 155) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-03-03 |