| NPI | 1831356013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80342) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 10723) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2011-09-21 |