| NPI | 1891085288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: GA HADE03490) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TN 0000000712) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |