| NPI | 1003056789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NC 1542) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2018-04-25 |