| NPI | 1629053830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1318) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY1318) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2010-03-29 |