| NPI | 1811300213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 1070) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001400A) |
| 237700000X Hearing Instrument Specialist (Licence: SC HAS-0510) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |