| NPI | 1730695750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 210100260) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2025-11-24 |