| NPI | 1366482440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WI 400156) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 7370) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-08-09 |