| NPI | 1215358023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO HAD.0000312) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OK 1036) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2016-10-14 |