| NPI | 1598956740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 1021) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 411) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2013-03-06 |