| NPI | 1578972469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-527301) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA HA 00002758) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |