| NPI | 1467475897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 8) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 161) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 8A) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-02-28 |