| NPI | 1376205278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 31054) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001852) |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2022-12-29 |