| NPI | 1225470974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 6473082-4601) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NV 327) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |