| NPI | 1346417227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY KY-0372) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY KY-0372) |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237700000X Hearing Instrument Specialist (Licence: KY KY-0927) | |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2008-05-10 |