| 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 |