| NPI | 1952557746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4324) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AL 2193) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2010-01-19 |