| NPI | 1306107081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 2757) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 2008028705) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |