| NPI | 1538173349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A2092) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS HA0470) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-04-10 |