| NPI | 1154370609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17000464) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 53) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-12-01 |