| NPI | 1700023215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADS000768) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007810) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2021-06-23 |