| NPI | 1063481950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ HAD4173) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist (Licence: AZ HAD4173) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-06-18 |