| NPI | 1023292232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 50238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 16484) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2010-06-01 |