| NPI | 1639379340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2006030067) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1349) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |