| NPI | 1922395334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IL 3122) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL AS4088) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2013-03-13 |