| NPI | 1568977296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID ha2037) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WY 177) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-06-16 |