| NPI | 1346572542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2664) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1284-060) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2011-09-27 |