| NPI | 1245834704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: PA F02844) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: PA F02844) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-12-08 |