| NPI | 1417386053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA 3618) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 002501) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-01-30 |