NPI | 1922044270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 941) |
Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: FL AY941) |
237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY941) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2011-09-14 |