| NPI | 1649584897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 658) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS 546) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |