| NPI | 1285871459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 4134) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS3797) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |