| NPI | 1013330638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO HAD.0000286) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADS000899) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-10-01 |