| NPI | 1487950879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NE 612) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NE 612) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |