| NPI | 1285948398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-10136935-OR) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-T-10136830) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2012-03-06 |