| NPI | 1497876650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KS 1307) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 1999140394) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-07-12 |