| NPI | 1841576931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ID HA2893) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA 7538) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2016-01-15 |