| NPI | 1194151225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 3101) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 2013012234) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |