| NPI | 1811240849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NE 765) |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2018-11-14 |