| NPI | 1457531964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist (Licence: TN 299) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2018-01-25 |