| NPI | 1023268117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 1078) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80185) |
| 237700000X Hearing Instrument Specialist (Licence: MS HA0630) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2020-01-20 |