| NPI | 1457794349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NM 0852) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80581) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2015-02-24 |