NPI | 1629630884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CO 0000968) |
Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CO 0000968) |
231HA2500X Audiologist, Assistive Technology Supplier (Licence: CO 0000968) | |
237600000X Audiologist-Hearing Aid Fitter (Licence: CO 0000968) | |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-08 |