| NPI | 1730358615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |