| NPI | 1316020217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 2610) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 953) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-07-25 |