| NPI | 1053342980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS1782) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: FL AS1782) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-09-26 |