| NPI | 1730455692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NE 786) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 000973) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-04-30 |