| NPI | 1164768495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS-0378) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADS000634) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |