| NPI | 1649672551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VT 063.0000051) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 240) |
| 237700000X Hearing Instrument Specialist (Licence: NH H453) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |