| NPI | 1497796072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 5175) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 2249) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-03-28 |