NPI | 1841290640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: ID AUD-1244) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: ID AUD-1244) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2011-03-18 |