| NPI | 1528317757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MS HA0625) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS 4874) |
| 237700000X Hearing Instrument Specialist (Licence: AL 2254) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2016-05-09 |