| NPI | 1164773131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5077) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 589D03) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2015-03-27 |