| NPI | 1417372228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HT9070) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3107) |
| 237700000X Hearing Instrument Specialist (Licence: SC 0514) | |
| 237700000X Hearing Instrument Specialist (Licence: AZ 8299) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |