| NPI | 1427361609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 298593) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: SC HAS-7995) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2026-01-27 |