| NPI | 1477798056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 885) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 2672) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |