| NPI | 1285027359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 917) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA 7632) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |