| NPI | 1396111225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NH H653) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 307) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |