NPI | 1386922946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 9707) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 9707) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2019-01-09 |