| NPI | 1083641138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 01218) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MD 151614) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-09-24 |