NPI | 1053493155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50319) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: 90336) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |