| NPI | 1760549463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NC 1270) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 386N02) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-03-21 |