| NPI | 1184485971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VT 063.0134063) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: UT 13047573-4601) |
| 237700000X Hearing Instrument Specialist (Licence: AK AUDD91) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-05-03 |