| NPI | 1043362221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR 404279) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-07-08 |