| NPI | 1467545400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NM 0621) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 50044) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-07-26 |