| NPI | 1679870687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 2196) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1241) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |