| NPI | 1578761276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 528) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 0881) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |