| NPI | 1801131396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IA 000956) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1334-60) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |