| NPI | 1023314358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: PA FO3834) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS2741) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2021-09-28 |