| NPI | 1932455607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CT 000337) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 326) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2017-03-20 |