| NPI | 1497829089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 001255) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1480) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-04-07 |