| NPI | 1730580267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CA HT9123) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI HT1447) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |