| NPI | 1982851234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 174400000X Specialist |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2018-04-06 |