| NPI | 1427362748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OH 2651) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001240A) |
| 237700000X Hearing Instrument Specialist (Licence: KY KY-0892) | |
| 237700000X Hearing Instrument Specialist (Licence: MI 3501004770) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2012-02-17 |