| NPI | 1649266008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 2859) |
| 237700000X Hearing Instrument Specialist (Licence: MO 2004006107) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-08-08 |