| NPI | 1568787190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 962605104601) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ HAD6270) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |