| NPI | 1386180388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2794) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ND H-0346) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |