| NPI | 1215540182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI NO.1645-60) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH IL.03427) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-07-01 |