| NPI | 1194931428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 948) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 889) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-07-01 |