| NPI | 1740508761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 000944) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 000944) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2016-11-22 |