| NPI | 1285794248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NV A-120) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NV A-120) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NV A-120) | |
| 235500000X Specialist/Technologist (Licence: NV A-120) | |
| 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: NV A-120) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NV A-120) | |
| 237700000X Hearing Instrument Specialist (Licence: NV A-120) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-02-11 |