| NPI | 1760737555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 10205686-4101) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NV 237700000X) |
| 235500000X Specialist/Technologist (Licence: NV 235500000X) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NV 237600000X) | |
| 231H00000X Audiologist (Licence: NV 231H00000X) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-11-27 |