| NPI | 1194720367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD0001117) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: WA LD00001117) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: WA LD00001117) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD00001117) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2010-12-30 |