| NPI | 1437152279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY KY-0449) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0449) |
| 237700000X Hearing Instrument Specialist (Licence: KY 0632) | |
| 231H00000X Audiologist (Licence: KY KY-0917) | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-06-16 |