| NPI | 1114366598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 02633) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001176) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |