| NPI | 1427023712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000696) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23002204A) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23002204A) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-07-09 |