| NPI | 1912037375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OR HAS-P-498672) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WA HA00000774) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-03-31 |