| NPI | 1033410196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 5102484-4601) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID HA-4095) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2020-08-19 |