| NPI | 1538641931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81056) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AZ DA13584) |
| 231H00000X Audiologist (Licence: CO AUD.00000976) | |
| 231H00000X Audiologist (Licence: OK 5958) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NM AUD6780) | |
| 237700000X Hearing Instrument Specialist (Licence: TX 80807) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-05-24 |