| NPI | 1689988180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NV A-228) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NV A-228) |
| 235500000X Specialist/Technologist (Licence: NV A-228) | |
| 2355A2700X Specialist/Technologist Audiology Assistant (Licence: NV A-228) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |