| NPI | 1427401736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000919) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AL 2229) |
| 237700000X Hearing Instrument Specialist (Licence: MS HA0587) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |