| NPI | 1245220748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 229) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 440) |
| 237700000X Hearing Instrument Specialist (Licence: IA 807) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-02-04 |