| NPI | 1033384128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 615) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 834) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2016-07-11 |