NPI | 1952379380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2003019973) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MO 12006502) |
237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2005034032) | |
Enumeration Date | 2006-03-10 |
Last Update Date | 2021-03-05 |