| NPI | 1679902217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO AUD.0000754) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 001098) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-04-15 |