| NPI | 1063678951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: DE 06-0000215) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2102 002392) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |