| NPI | 1588836720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: SC 3913) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 5785) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 1077) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2015-07-29 |