| NPI | 1033701073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL as4415) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL as2198) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |