| NPI | 1033512553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 74) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VT 063.0000041) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |