| NPI | 1407014665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 50711) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OK 990) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2012-10-11 |