| NPI | 1144466996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 50098) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 50122) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 50122) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50122) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2014-12-18 |