| NPI | 1497972533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501002222) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: MI 3501002222) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-06-07 |