| NPI | 1649381401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 14225346-4101) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50527) |
| 237700000X Hearing Instrument Specialist | |
| 231H00000X Audiologist (Licence: TX 50527) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-09 |