| NPI | 1649575895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS1040) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA 659) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |