| NPI | 1548329998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA00002203) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA 2203) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-12-26 |