| NPI | 1891237103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 2211) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: AL 162884) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2018-03-17 |