| NPI | 1609875194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 64&020) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 020) |
| 231H00000X Audiologist (Licence: NE 64) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-01-29 |