| NPI | 1154724300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OH 03210) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: OH 3210) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2021-08-05 |