| NPI | 1912195231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY KY0245) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY KY0632) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-05-29 |