| NPI | 1679736680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 8628) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23002847A) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NC 8628) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NC 8628) | |
| 235500000X Specialist/Technologist (Licence: NC 8628) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 8628) | |
| 237700000X Hearing Instrument Specialist (Licence: NC 8628) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-04-25 |