NPI | 1093700999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AL 38-A) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AL 38-A) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2011-12-01 |