| NPI | 1205202223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CT 439) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80304) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |