| NPI | 1740446657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 02556) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: DE 03-0000195) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |