| NPI | 1245356559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: UT 3094025-4601) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 3094025-4601) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-12-09 |