| NPI | 1508126947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80350) |
| 237700000X Hearing Instrument Specialist (Licence: TX 80350) | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2025-07-28 |