| NPI | 1336669084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT006505) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01630) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2024-05-07 |