| NPI | 1295747905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NV A-249) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NV A-249) |
| 237700000X Hearing Instrument Specialist (Licence: NV A-249) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-05-28 |