| NPI | 1801133053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 3064) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 1373) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |