| NPI | 1740610153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI 1415-60) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3125) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |