| NPI | 1669765855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 51036) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 51036) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2021-03-26 |