| NPI | 1245657253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NV HAS-510) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HT9062) |
| 237700000X Hearing Instrument Specialist (Licence: UT 7481478-4602) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2015-09-14 |