| NPI | 1265981930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 7650) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 12063) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-08-12 |