| NPI | 1649257817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 100064) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0154) |
| 237700000X Hearing Instrument Specialist (Licence: KY 0496) | |
| 237700000X Hearing Instrument Specialist (Licence: KY 101441) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-09-14 |