| NPI | 1760508816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: PA F02398) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-03-18 |