| NPI | 1881822641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 02509) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001530) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |