| NPI | 1427131648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT000157-L) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: PA AT000157L) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT000157L) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: PA AT000157L) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-10-02 |