| NPI | 1689666208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23000631A) |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: IN 23000631A) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23000631A) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-07-08 |