| NPI | 1184976722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 155) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-T-10151316) |
| 237700000X Hearing Instrument Specialist (Licence: WA HA 60353175) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2014-02-21 |