| NPI | 1205685914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3502013211) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 3502013211) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |