| NPI | 1164965646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5437) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH 03267) |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2022-06-24 |