| NPI | 1013269703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: RI 2364) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 2364) |
| 237700000X Hearing Instrument Specialist (Licence: NH 2364) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |