| NPI | 1104467901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TN 1052) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AL 1449) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-04-18 |