| NPI | 1740624824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 231H00000X Audiologist |
| 231HA2400X Audiologist, Assistive Technology Practitioner | |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-07-21 |