| NPI | 1164111779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA6128693) |
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |