| NPI | 1124468921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NH H547) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 198) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |