NPI | 1700850344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80518) |
Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: TX 80518) |
237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80518) | |
Enumeration Date | 2006-02-13 |
Last Update Date | 2015-02-06 |