| NPI | 1073334223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: CO HAD0000573) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WV 1139) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2025-05-02 |