| NPI | 1134602485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 10934672-4601) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: UT 10934672-4602) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2021-01-04 |