| NPI | 1275684110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 191) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NE 618) |
| 237700000X Hearing Instrument Specialist (Licence: IA 00842) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: SD 366A) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-04-28 |