| NPI | 1881612091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: SD 006A) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 673) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-08-15 |