| NPI | 1669039434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NV A-3508) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OR 030941) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-03-28 |