| NPI | 1053757328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000902) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80397) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2014-03-04 |