| NPI | 1396185484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80615) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 11182) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-11-08 |