| NPI | 1225166275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80571) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2002031862) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 01446) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA6116) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-08-31 |