| NPI | 1851627806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: ME DL374) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NH H564) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |