| NPI | 1487896270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO HAD.0000264) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ HAD1984) |
| 237700000X Hearing Instrument Specialist (Licence: TX 80550) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2014-06-24 |