| NPI | 1952638884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501004395) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 2670) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |