| NPI | 1699023796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17000993A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY KY1025) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |