| NPI | 1750717864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 168362) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TN 1484) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2016-12-19 |