NPI | 1760621460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: MT 1284) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CO AUD400) |
237600000X Audiologist-Hearing Aid Fitter | |
237600000X Audiologist-Hearing Aid Fitter (Licence: MT 408) | |
Enumeration Date | 2009-02-19 |
Last Update Date | 2011-06-22 |