| NPI | 1295110641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ND H-2060) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MN 2572) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |