NPI | 1629306980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2002012707) |
Additional Taxonomies | 231H00000X Audiologist |
237600000X Audiologist-Hearing Aid Fitter | |
Enumeration Date | 2009-11-25 |
Last Update Date | 2021-07-16 |