| NPI | 1578601514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 0983a) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AL 0983a) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-10-02 |