| NPI | 1336457308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR 22376) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD 00002711) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |