| NPI | 1174562326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS4993) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MD 2092) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-03-12 |