| NPI | 1659565935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003780) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA aud003780) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: GA Aud003780) | |
| 231H00000X Audiologist (Licence: SC AUD3899) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: SC AUD3899) | |
| 231H00000X Audiologist (Licence: FL ay2275) | |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: SC AUD3899) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: GA Aud003780) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: SC AUD3899) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2024-05-31 |