| NPI | 1316034887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ME AP1990) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NH A441) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NH A441) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NH A441) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: ME AP1990) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: ME AP1990) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-08-05 |