| NPI | 1144418252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1274) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WI 1274) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2018-05-23 |