| NPI | 1053869016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A01546) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: OH A01546) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: OH A01546) | |
| 237700000X Hearing Instrument Specialist (Licence: OH A01546) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |