| NPI | 1194192443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS 4886) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AS4886) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2020-07-23 |