| NPI | 1003875311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 561) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA 687) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |