| NPI | 1336483338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 02383) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001138) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |