| NPI | 1184176844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 0000322) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 37-3032) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |