| NPI | 1174944417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: LA 1310) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MI 3501005499) |
| 237700000X Hearing Instrument Specialist (Licence: MS HA0675) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2019-11-01 |