| NPI | 1851572630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO 137) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CO 91) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2012-06-06 |