| NPI | 1245576602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000868) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC HAS-0496) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |