| NPI | 1063817518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 994) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 3104) |
| 237700000X Hearing Instrument Specialist (Licence: KY 1063) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |