| NPI | 1396737334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: HI AUD-26) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: HI HA-24) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-07-03 |