| NPI | 1518202274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WV 853) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F0308100) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2017-04-20 |