| NPI | 1891931705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: SC HAS-452) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: GA HADS000780) |
| 237700000X Hearing Instrument Specialist (Licence: HI HA-182) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |