| NPI | 1376957910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1871) |
| Additional Taxonomies | 231H00000X Audiologist |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY1871) | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-10-20 |