| NPI | 1679964274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HA00000626) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR 358223) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-19 |