| NPI | 1992178164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WY 193) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: UT 9171940-4602) |
| 237700000X Hearing Instrument Specialist (Licence: ID HA-2805) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |