| NPI | 1629270400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 0798) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 000986) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-08-28 |