| NPI | 1285805796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY000216) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY000216) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2015-05-11 |