| NPI | 1215187232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 5958) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 12104582) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2025-02-18 |