| NPI | 1225288095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA MA4072) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-12-10 |