| NPI | 1013251784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 00618) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MN 2667) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |