| NPI | 1194556837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: DE O3-0010305) | 
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: PA F03810) | 
| Enumeration Date | 2024-08-13 | 
| Last Update Date | 2025-07-10 |