| NPI | 1295889335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA00000347) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-647063) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-11-02 |