| NPI | 1174090443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: IN 17001459A) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IL 3133) |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR1100X Clinic/Center, Research | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2023-01-04 |