| NPI | 1033500780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ 13580) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA 7730) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2023-09-05 |