| NPI | 1598145567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000929) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC HAS-0553) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |