| NPI | 1386853893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: AR A#396) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AR A#396) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: AR A#396) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: AR A#396) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-10-17 |