| NPI | 1952768624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS001013) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA HADS001013) |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 237700000X Hearing Instrument Specialist (Licence: FL AS5140) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-03-15 |