| NPI | 1841744687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 870) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA 000952) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |