| NPI | 1902821580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NH A468) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NH A468) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NH A468) | |
| 237700000X Hearing Instrument Specialist (Licence: NH A468) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NH A468) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-11-02 |