| NPI | 1144912890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 6490) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ID 144) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-01 |