| NPI | 1427570290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner |
| 231HA2500X Audiologist Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 12589) | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-09-25 |