| NPI | 1770897928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 716) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS 567) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |