| NPI | 1538511779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 4013) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS HA0588) |
| 237700000X Hearing Instrument Specialist (Licence: GA HADS000918) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |