| NPI | 1083195556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA11442) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AZ DA11442) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-03-03 |