| NPI | 1356786701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2469) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ND H-0009) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |