| NPI | 1235522160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 1090) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 6064) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |