| NPI | 1093075855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2008009316) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 2748) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |