| NPI | 1457761397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 237700000X Hearing Instrument Specialist (Licence: IL 3165) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-02-02 |