NPI | 1194875880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: LA 56) |
Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: LA 56) |
235Z00000X Speech-Language Pathologist, (Licence: LA 56) | |
237600000X Audiologist-Hearing Aid Fitter (Licence: LA 56) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2011-01-04 |