| NPI | 1679679922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AR 42) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AR 229) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-06-08 |