| NPI | 1790755486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 802) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 605) |
| 237700000X Hearing Instrument Specialist (Licence: KS CE564) | |
| 237700000X Hearing Instrument Specialist (Licence: MO 000397) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-11-14 |