| NPI | 1144939844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 100691) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IN 17001066A) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |