| NPI | 1356522197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 0000000529) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |