| NPI | 1255487252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: AR A#205) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AR A#205) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: AR A#205) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-06-25 |