| NPI | 1255526943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: VA 2101001696) | 
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2102002361) | 
| Enumeration Date | 2007-09-06 | 
| Last Update Date | 2021-07-07 |