| NPI | 1205243441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS-490) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADS-861) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-10-02 |