| NPI | 1205428687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: OH 03249) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: 03249) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |