| NPI | 1962492405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 1077) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 394) |
| 237700000X Hearing Instrument Specialist (Licence: IA 754) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-07-21 |