| NPI | 1427228782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: OK HASP-0006813) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ME AP1815) |
| 231H00000X Audiologist (Licence: OR 22608) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2013-04-01 |