| NPI | 1386879963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NM 311) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 50058) |
| 237700000X Hearing Instrument Specialist (Licence: AZ 1283) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |