| NPI | 1861490443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 1326) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2012-05-15 |