| NPI | 1063783884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NC 789) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC 374) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |