| NPI | 1093060790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 17001321A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MI 3501006597) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2023-03-03 |