| NPI | 1104148980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ HADR10604) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AR 600) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2022-07-21 |