| NPI | 1710177993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT000066L) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT000066L) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: PA AT000066L) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: PA AT000066L) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2017-10-10 |