| NPI | 1447282546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-01-27 |