NPI | 1417111329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CO 407) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO 407) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2025-02-03 |