| NPI | 1265720965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO HA000891) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OK 938) |
| 237700000X Hearing Instrument Specialist (Licence: KS 1278) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |