| NPI | 1437319340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 220) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 2940) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2011-06-28 |