| NPI | 1952765760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NE 691) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 00847) |
| 237700000X Hearing Instrument Specialist (Licence: SD 367H) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |