| NPI | 1063665768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MT HADMT1070) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO HAMO753) |
| 237700000X Hearing Instrument Specialist (Licence: MO 000753) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-12-07 |