| NPI | 1598979585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADE034799) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: SC HAS-452) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-11-13 |