| NPI | 1912373663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4229) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03244) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |