| NPI | 1477953800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: DE 03-0000273) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00099000) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-05-06 |