| NPI | 1427325406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 1088) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA8804) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2014-12-29 |