| NPI | 1245605120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 2101001953) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001953) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2024-12-25 |