| NPI | 1962660027 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80279) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2016-10-13 |