| NPI | 1831112697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC 0640) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA2772) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-09-05 |