| NPI | 1346430535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA 60613929) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80215) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-07-21 |