| NPI | 1205172210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501005650) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 3501005650) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2024-08-27 |