| NPI | 1235467382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SD 283) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 811) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2014-12-12 |