| NPI | 1801293543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17000968A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY KY-0635) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |