NPI | 1164575817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80033) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80033) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2009-11-12 |