| NPI | 1558798330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NH H630) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 244) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |