| NPI | 1326465048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501002891) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 3501002891) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: 3501002891) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |