| NPI | 1053568469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17000937) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 1199) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |