| NPI | 1801291661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17001423A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MI 3501007498) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |