| NPI | 1730386574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 172) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 638) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 011) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-02-28 |