| NPI | 1043312333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50108) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 50108) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2025-09-11 |