| NPI | 1861731861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2078) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 917) |
| 237700000X Hearing Instrument Specialist (Licence: WI 945) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |