| NPI | 1184030207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ had5326) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA ha00002249) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |