NPI | 1134588650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: CO 0000014) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO 0000014) |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-11 |