| NPI | 1548782287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN A2240) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist | |
| 231H00000X Audiologist (Licence: IA 087584) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-09-30 |