| NPI | 1013254663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL as 4885) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA fo3179) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |