| NPI | 1295333110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA12772) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NV A-2779) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-02-05 |