| NPI | 1003109778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101001616) |
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: VA 2101001616) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |