| NPI | 1841420270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 721) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 554) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |