| NPI | 1467670463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000183) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000183) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: MI 1601000183) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MI 1601000183) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-05-16 |