| NPI | 1124725841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 80880) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 80880) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2026-07-01 |