| NPI | 1184677627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA00000366) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P 195064) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-08-01 |