| NPI | 1619406386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: SD 461A) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-12-06 |