| NPI | 1568515559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 981) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 1696) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2010-06-15 |