| NPI | 1154282754 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 4241) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MS 714) |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |