| NPI | 1730449331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS3698) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 237700000X Hearing Instrument Specialist (Licence: FL 3698) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |