| NPI | 1982090379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 280) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 280) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2019-04-30 |