| NPI | 1972784833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 3501000572) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: MI 3501000572) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-09-29 |