| NPI | 1437430055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NM 4981) |
| Additional Taxonomies | 231H00000X Audiologist |
| 237700000X Hearing Instrument Specialist (Licence: NM 4981) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2014-11-26 |