| NPI | 1407982671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001458) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2018-01-18 |