NPI | 1912319500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 000777) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 076137) |
Enumeration Date | 2014-05-30 |
Last Update Date | 2018-03-17 |