| NPI | 1356892939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NE 145) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WY 18) |
| 237700000X Hearing Instrument Specialist (Licence: AZ HAD5898) | |
| 237700000X Hearing Instrument Specialist (Licence: SD 430H) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |