| NPI | 1467827295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: OH A01998) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A.01998) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2021-06-28 |