| NPI | 1649419763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17001213A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 0937) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |