| NPI | 1366849192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA 60136011) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID HA 2180) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |