| NPI | 1619197100 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2006035587) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 1734) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-08-28 |