| NPI | 1184043044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 645) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MD 02194) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |