| NPI | 1043686611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS0511) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 1421) |
| 237700000X Hearing Instrument Specialist (Licence: VA 2101001528) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |