| NPI | 1588686844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50744) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50744) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NM AUD2142) | |
| 231H00000X Audiologist (Licence: NM AUD2142) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-01-17 |