| NPI | 1710222385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 178) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NH H509) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |