| NPI | 1215156369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ HAD6218) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OH 02335) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-08-21 |