| NPI | 1215303565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 16) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VT 063.0000480) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |