| NPI | 1518292119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2018-02-13 |