| NPI | 1578008934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS001010) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MI 3501005426) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-04-26 |